Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Jacob Ehlert, PA

Individual provider Physician Assistant · NPI 1073397113

Jacob Ehlert, PA is a Physician Assistant in Casper, Wyoming. Graduated from University of Washington School of Medicine in 2023, 3 years ago. Practices with Summit Memorial Medical Group LLC, a 40-clinician group and accepts Medicare assignment.

Years since qualifying
3
Trained at
University of Washington School of Medicine
In the registry since
2023
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

6500 E 2nd St
Casper, WY 82609-4338
Phone: (307) 577-5100
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1073397113
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedAugust 21, 2023
Last updated in NPPESAugust 21, 2023
Certification dateAugust 21, 2023
Mailing address6500 E 2nd St, Casper, WY 82609-4338

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolUNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduated 2023 (3 years in practice)
Group practice Summit Memorial Medical Group Llc — 40 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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